Medicare Medicaid Category

Medicare & Medicaid

News articles in this section include actions by federal regulators like the CMS and HHS, as well as information on Medicare and state Medicaid coverage and benefits.

Biden Doubts Medicare Benefits Expansion Could Make It Into Infrastructure Package

President Joe Biden expressed major doubts that adding new benefits to Medicare will make it in a more than trillion-dollar infrastructure package being negotiated in Congress.

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Direct Primary Care, With a Touch of Robin Hood

Britta Foster and Minerva Tiznado are in different leagues as far as health care is concerned. Foster, who married into the family that owns the $2.5 billion Foster Farms chicken company, has Blue Shield coverage as well as a high-octane primary care plan that gives her 24/7 digital access to her doctor for a $5,900 annual fee ...

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Dems Weigh Ditching Medicare Expansion And Paid Leave In Eleventh Hour Of Social Spending Talks

Democrats are haggling over whether to drop two of the most popular elements of their social spending bill as negotiations reach the zero hour, according to a half-dozen sources close to the discussions. While high-level talks on the $1 trillion-plus package are ongoing, lawmakers, staffers, advocates and lobbyists said that a plan to expand Medicare ...

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Scrutiny Of Risk Adjustment Practices Looms Over Medicare Advantage As Open Enrollment Starts

Medicare open enrollment kicked off Friday with more Medicare Advantage plans to choose from but with renewed criticism that insurers are gaming risk adjustment practices to inflate profits. While more and more insurers are expanding their presence in the MA marketplace, private Medicare plans are facing heightened scrutiny over risk adjustment and comprehensive diagnostic coding. ...

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Large Majorities Want Medicare To Negotiate Drug Prices, Poll Finds

Large majorities of American voters across all political stripes favor letting Medicare negotiate drug prices, and most don't buy into the argument that high drug prices are needed for drug companies to invest in new research, according to a new poll from the Kaiser Family Foundation.

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Kaiser Family Foundation: 7 In 10 Medicare Beneficiaries Don’t Shop For New Plans

New data show that 7 in 10 Medicare beneficiaries didn’t compare plans during the 2018 open enrollment period, even though plans can change in their benefits and costs.

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90% of Medicare Advantage Enrollees Enrolled in Highest-Quality Plans

Nine out of 10 Medicare Advantage members are enrolled in plans that earned the government's highest quality marks for 2022, according to new federal data.

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Ban On Negotiating Medicare Drug Prices Under Pressure

Donna Weiner looks at Medicare’s prescription drug program from two different points of view. As a participant, she wants to pay less for her medicines, which cost her about $6,000 a year. As a retired accountant who spent 50 years handling the books for companies, she sees a way to get there. “You know from working in ...

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The Public Backs Medicare Rx Price Negotiation Even After Hearing Both Sides’ Views

As Congress debates cutting prescription drug costs, a poll released Tuesday found the vast majority of adults — regardless of their political party or age — support letting the federal government negotiate drug prices for Medicare beneficiaries and those in private health insurance plans. The argument that pharmaceutical companies need to charge high prices to ...

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Democrats Dial Back Drug-Pricing Plans To Win Over Moderates

Leadership may drop efforts to have the government directly negotiate the prices for medicines in private insurance plans and make fewer drugs subject to negotiations in Medicare, among the changes under consideration.

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